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Myomectomy using purse-string suture during cesarean section.

Jeong-Heon Lee1, Dong-Hyu Cho

  • 1Department of Obstetrics and Gynecology, Institute for Medical Sciences, Chonbuk National University Medical School, 634-18, Keumam Dong, Dukjin gu, Jeonju, Jeonbuk, 561-712, South Korea. jh.lee@jbnu.ac.kr

Archives of Gynecology and Obstetrics
|November 16, 2010
PubMed
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This summary is machine-generated.

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Cesarean myomectomy is now safer using a purse-string suture technique, preventing excessive bleeding during fibroid removal. This method offers a safe and effective approach for women needing both procedures.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Innovation

Background:

  • Traditionally, myomectomy during cesarean section was limited to pedunculated myomas due to the high risk of bleeding.
  • Resecting non-pedunculated myomas during cesarean delivery often leads to significant hemorrhage.

Purpose of the Study:

  • To evaluate the safety and efficacy of a purse-string suture technique for myomectomy during cesarean section.
  • To determine if this technique can prevent excessive bleeding and complications.

Main Methods:

  • A purse-string suture technique was employed for myomectomy in 31 patients undergoing cesarean section.
  • An assistant maintained tension on the purse-string suture around the myoma during excision.
  • A second purse-string suture was placed internally after the myoma's removal.

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Main Results:

  • Myomectomy was successfully performed without profuse bleeding in all 31 patients.
  • The technique demonstrated no observed failures or serious complications, including late hemorrhage or uterine rupture in subsequent pregnancies, over a 3-year period.

Conclusions:

  • Myomectomy during cesarean section using the purse-string suture technique is safe and effective.
  • This method provides a useful and convenient option for managing uterine fibroids during cesarean delivery.